Fig. 4.

Total number of indicators (inner circle) and the number of indicators per quality dimension (1–6; middle circle) and thematic category by responsible health system level (1.1–6.1; outer circle). Number of indicators is given in brackets. The e-TIQH assessment tool consisted of six quality dimensions contributing equally to the overall score, which is illustrated by the middle circle through equivalent areas of each quality dimension [56]. QD 1 = Physical environment and equipment: QD 1.1 = Physical environment, QD 1.2 = Equipment availability; QD 2 = Job expectations: QD 2.1 = Provider knowledge of services to be provided, QD 2.2 = Guideline and algorithm availability, QD 2.3 = Availability of job description; QD 3 = Professional knowledge, skills and ethics: QD 3.1 = Ethics and Infection Prevention and Control (IPC), QD 3.2 = Integrated Management of Childhood Illnesses (IMCI), QD 3.3 = Maternal health, QD 3.4 = Fever, QD 3.5 = HIV/AIDS and TB; QD 4 = Management and administration: QD 4.1 = Display of public information, suggestion box, meeting conduction, duty roster, referral plans, QD 4.2 = Information, Education and Communication (IEC) material availability and Health Management Information System (HMIS) implementation, QD 4.3 = Routine CHMT supportive supervision visits, QD 4.4 = Staffing level, QD 4.5 = Medicines availability; QD 5 = Staff motivation: QD 5.1 = In-house education, QD 5.2 = Appointment as best worker, QD 5.3 = Letter of appreciation and training follow up, QD 5.4 = Reward payment, house allocation, promotion, QD 5.5 = Training, QD 5.6 = Salary and promotion payment; QD 6 = Client satisfaction